The development of a couples-focused HIV behavioral intervention to enhance uptake of evidenced informed combination HIV preventative methods for high-risk heterosexually-identified Black youth and th

摘要/摘要 目前的项目寻求解决当前国家艾滋病毒预防工作中的一个重要差距，方法是开展 形成性研究需要发展以非洲为重点的证据知情的艾滋病毒行为干预 美国异性恋指的是青春期夫妇。更多地使用经过验证的艾滋病毒预防方法 在青少年中开展工作是国家的优先事项。四种最有效的艾滋病毒预防方法是：(1) 正确和始终如一地使用安全套，(2)常规艾滋病毒检测和联系/保留在护理中，(3)性传播感染 筛查和治疗，以及(4)PrEP的启动和坚持。上述五项证据已获通知 干预、正确和一致地使用避孕套是以年轻人为重点的艾滋病毒的最常见的目标 预防干预措施。迫切需要考虑将艾滋病毒预防与预防相结合的方法 在恋爱关系中的青春期。忽略了对青春期夫妇的关注 这是当前减少艾滋病毒发病率的国家战略中的一个重大差距。三个阶段的研究 这项研究将以综合社会行为理论和更广泛的现有文献为指导 青春期夫妇，将与高危异性恋的非裔美国青年三人一起生活 纽约市五个行政区之一的南布朗克斯区内艾滋病毒和贫困发生率高的社区。我们定义 “高危异性恋青年”指年龄在16-24岁之间，与不同性别的主要伴侣居住在一起的个人 南布朗克斯目标社区之一，至少有以下一种情况：(A)自我报告的性传播感染 包括最近12个月的艾滋病毒，(B)兼职伴侣(S)(C)是否有过MSM性行为，或(D)是否有过 监禁。研究设计包括：对青少年和他们的青少年进行个人和二元的定性访谈 浪漫伴侣，以及与当地社区利益相关者的焦点小组(AIM 1)，为期6个月 夫妇定量研究(目标1)，并利用干预图谱和反馈制定干预措施 来自青年和社区利益相关者焦点小组和领导青年艾滋病毒预防的科学会议 研究人员(目标3)。这项研究的总体目标是发展一种创新的、文化的和 发展量身定做的、可扩展的、以夫妇为重点的干预措施，以增强对知情证据的吸收 针对高危异性恋黑人青年及其浪漫人群的艾滋病毒联合预防方法 合伙人。该提案提供了一种高影响力和创新的方法来解决疾控中心和国家 艾滋病毒艾滋病战略目标--通过使用多效唑减少高度优先社区的新艾滋病毒感染 需要综合的艾滋病毒预防方法。

Summary/Abstract The current project seeks to address an important gap in current national HIV prevention efforts by conducting formative research needed to develop an evidence informed HIV behavioral intervention focused on African American heterosexually identified adolescent couples. Increasing the use of proven HIV prevention methods among adolescents is a national priority. Four of the most highly effective HIV prevention methods are: (1) correct and consistent condom use, (2) routine regular HIV testing and linkage/retention in care, (3) STI screening and treatment, and (4) initiation of and adherence to PrEP. Of the above five evidenced informed interventions, correct and consistent condom use has been most regularly targeted in youth-focused HIV prevention interventions. Sorely needed are approaches that consider combination HIV prevention for adolescent within the context of their romantic relationships. The omission of the focus on adolescent couples represents a significant gap in the current national strategy to reduce HIV incidence. The three phase research study, which will be guided by integrated social behavior theories and the broader extant literature related to adolescent couples , will be conducted with high-risk heterosexual African American youth living in the three high HIV and poverty prevalence communities within the South Bronx, one of NYCs five boroughs. We define “high-risk heterosexual youth” as an individual aged 16 – 24 with a different sex primary partner that lives in one of the targeted South Bronx communities AND has at least one of the following: (a) self-reported STI including HIV in the last 12-months, (b) concurrent partner(s) (c) ever MSM sex, or (d) ever history of incarceration. The study design includes: individual and dyadic qualitative interviews with youth and their romantic partners, and focus groups with local community stakeholders (Aim 1), a 6-month prospective quantitative study with couples (Aim 1), and intervention developing using intervention mapping and feedback from youth and community stakeholder focus groups and scientific meetings with leading youth HIV prevention researchers (Aim 3). The overall goal of this research is to develop an innovative, culturally and developmentally tailored, and scalable couples-focused intervention to enhance uptake of evidence informed combination HIV preventative methods for high-risk heterosexually identified Black youth and their romantic partners. The proposal offers a high-impact and innovative approach to addressing CDC's and the National HIV AIDS Strategy goals of reducing new HIV infections in high-priority communities through use of much needed combined HIV prevention methods.